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Yıl:1994; Cilt: 5; Sayı: 2>> Özet
Türk Psikiyatri Dergisi; 1994;5(2):103-108
Kanser Teşhis ve Tedavisi Amacı İle Bir Cerrahi Kliniğinde Yatan Hastalarda Psikiyatrik Tanılar
S ŞENOL, V BİTLİS, E ÜNAL, H GÖÇMEN, D TAN, A ÇETİN
Kanserli hastalarda psikiyatrik belirti ve tanıların çok farklı ölçeklerle belirlenmesi, bu alanda yapılan araştırmaların karşılaştırılmasını zorlaştırmaktadır. Ülkemizde bu konuda sınırlı sayıda çalışma vardır ve hemen hemen tamamında yalnızca psikiyatrik belirtiler ele alınmıştır. Bu araştırma kanser tanısı alan hastalardaki psikiyatrik bozuklukların belirlenmesi amacı ile bir cerrahi kliniğinde yatan 35 hasta üzerinde yapıldı. Hastaların sosyodemografik özellikleri, kanser tipi, DSM-III-R I. eksen ve kişilik bozuklukları tanıları tespit edildi. Otuz beş hastanın %77.1’i herhangi bir I. eksen tanısı almış; hastaların %34.3’ü affektif bozukluk (%11.4 major depresyon; %22.9 distimi), %2.8’i somatizasyon bozukluğu ve %2.8’i alkol bağımlılığı tanısı almışlardır. Hastalaın toplam %25.7’si ise herhangi bir kişilik bozukluğu tanısı almıştır. Kadın hastaların %80’inde I. eksen, %25’inde kişilik bozukluğu tanısı tespit edilirken; erkeklerde I. eksen tanıları %73.3, kişilik bozukluğu ise %26.6 oranlarındaydı.

Psychiatric Diagnoses in Inpatients Hospitalized for Cancer Diagnosis and Treatment in a Surgey Clinic
It’s difficult to compare studis on psychiatric symptoms and diagnoses in cancer patients, since the instruments used vary. There are only a few studies on this subject in our country and in almost all, psychiatric sympotmos were investigated merely. The present stduy was planned to identify psychiatric disorders in 35 cancer diagnosed patients in a surgery clinic. Sociodemographic features, cancer type, DSM-III-R axis I and personality disorder diagnoses were established. 77.1% of the 35 pa tients had some type of axis I diagnosis; of these 34.3% were diagnosed as affective disorder (11.4% major depression, 22.9% dysthymia), 28.6% as adjustment disorder, 8.6% as anxiety disorder, 2.8% as somatization disorder and 2.8% as alcohol abuse. 25.7% of all the patients had some personality disorder diagnosed. 80% of female patients had axis I, 25% had personality disorder diagnoses and 73.3% of male patients had axis I, 26.6% had personality disorder diagnoses.

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